Il Power Of Attorney For Property (Page 3 of 7) in pdf

Signed:

(Principal)

Bruce V. Rauner

The undersigned witness certifies that Bruce V. Rauner, known to me to be the same person whose name is subscribed as principal to

the foregoing power of attorney, appeared before me and the notary public and acknowledged signing and delivering the instrument as

the free and voluntary act of the principal, for the uses and purposes therein set forth. I believe him or her to be of sound mind and

memory. The undersigned witness also certifies that the witness is not: (a) the attending physician or mental health service provider or

a relative of the physician or provider; (b) an owner, operator, or relative of an owner or operator of a health care facility in which the

principal is a patient or resident; (c) a parent, sibling, descendant, or any spouse of such parent, sibling, or descendant of either the

principal or any agent or successor agent under the foregoing power of attorney, whether such relationship is by blood, marriage, or

adoption; or (d) an agent or successor agent under the foregoing power of attorney.

Dated:

Witness

(Second Witness) The undersigned witness certifies that Bruce V. Rauner, known to me to be the same person whose name is subscribed

as principal to the foregoing power of attorney, appeared before me and the notary public and acknowledged signing and delivering the

instrument as the free and voluntary act of the principal, for the uses and purposes therein set forth. I believe him or her to be of sound

mind and memory. The undersigned witness also certifies that the witness is not: (a) the attending physician or mental health service

provider or a relative of the physician or provider; (b) an owner, operator, or relative of an owner or operator of a health care facility in

which the principal is a patient or resident; (c) a parent, sibling, descendant, or any spouse of such parent, sibling, or descendant of either

the principal or any agent or successor agent under the foregoing power of attorney, whether such relationship is by blood, marriage, or

adoption; or (d) an agent or successor agent under the foregoing power of attorney.

Dated:

Witness

State of

)

) SS.

County of

)

The undersigned, a notary public in and for the above county and state, certifies that Bruce V. Rauner, known to me to be the

same person whose name is subscribed as principal to the foregoing power of attorney, appeared before me and the witness

___________________________ (and __________________________) in person and acknowledged signing and delivering the

instrument as the free and voluntary act of the principal, for the uses and purposes therein set forth(, and certified to the correctness of

the signature(s) of the agent(s)).

Dated:

Notary Public

My commission expires:

Specimen signatures of agent (and successors)

I certify that the signatures of my agent (and successors) are

genuine.

Agent: Roundtable Investment Partners

Principal:

By:

Bruce V. Rauner

Successor Agent: None Specified

Principal:

Bruce V. Rauner

Page 3 of 7

Il Power Of Attorney For Property Page 3

Related Articles

Related forms

Related Categories